RAC Audit Defense
Before you simply capitulate and pay them, it would be prudent to confirm their findings. Writing a small check to The Coding Network might eliminate or reduce a large check to these “bounty hunters.” Their auditors may not be intimately familiar with your specialty, and their commission-only structure certainly gives them an incentive to assert that you’ve made coding errors or that your records don’t support your claims. There may be some gray areas in your charts that they interpret against you. We can audit the same encounters or operations they examined, and our findings may give you the ammunition you need to mount a credible defense.
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Latest Blog Posts:
Medical Coding Compliance: The Good, the Bad, and the Ugly
In today's complex healthcare landscape, maintaining coding compliance is more crucial than ever. Recent developments from the Department of Justice (DOJ), including the launch of the Corporate Whistleblower Awards Pilot Program (CWAPP), have further emphasized [...]
The DOJ’s New Whistleblower Program: A Vital Step for Medical Coding Compliance
On August 1, 2024, the U.S. Department of Justice (DOJ) launched its Corporate Whistleblower Awards Pilot Program. This initiative is a significant development in the DOJ's efforts to uncover corporate misconduct, particularly in areas not [...]
How to Reduce Overtime From Your Medical Coding Budget
Every coding operation, no matter how large or small, suffers from unavoidable coding outages due to: Vacations Sick Leave Maternity Leave Family Leave Coder Turnover In most cases, in-house coding operations choose one of the [...]
Coding Compliance Audits: Uncovering Deficiencies and Solutions
In an era where healthcare systems are intricately tied to digital platforms, meticulous coding accuracy cannot be a mere afterthought; it is an absolute necessity. Often overlooked, coding errors are the silent killers of compliance [...]